Apply for Support

If you or someone you know needs help with medical treatment, education, food or livelihood, tell us about it here. Every request is reviewed by our team and kept confidential.

Person who needs support

Full name

Mobile

Email (to receive updates)

Date of birth

Gender

Occupation

Address

City / village

State

Support needed

Type of support

How urgent is it?

Describe the situation and the help needed

Estimated amount needed (₹)

Education (if applicable)

Family

Family members

Monthly family income (₹)

Applying for someone else? Your name and relation

Documents

Attach documents ID proof, medical reports, estimates or fee receipts. Up to 5 files, 8 MB each. Only our team can see them.

I confirm the information is true and I consent to Human Rights & Women Safety Trust storing these details and documents to assess this request and to contact me.